Lumbar Spinal Stenosis Treatment

Simba reSpinal isimangwana rinokonzera kudzvinyirira kwepelinete mumutsipa wepasipinal. Zviratidzo zvechirwere chepumbed spen stenosis (apo kuderera kuri mumucheto wepasi pemutsara) kunosanganisira marwadzo, kupera, uye kumira mumumucheto wakadzika. Varwere vanowanzoti kuneta nyore nyore uye vanoona vanogona kufamba bedzi zvishoma pasina kuzorora-ichi chiratidzo chinonzi claudication. Kazhinji, muspinha stenosis inokonzerwa nekugadzirisa zvishoma nezvishoma (arthritis) mumuchepere. Bhubu rinoputika, kuputika, uye kuparara kunogona kuita kuti kuderera kunenge kwakakomberedza mitsipa.

Kurapa kwepenene stenosis kunotanga nematanho ari nyore, kusanganisira kurapa kwepanyama, mishonga, nekuzorora. Kana zvirwere izvi zvisingakwanisi kuderedza marwadzo, vamwe varwere vanogona kusarudza chirwere chepfungwa kuti vawane zororo kubva kune zviratidzo zve stenosis. Idzi ndiyo mishonga inowanzozivikanwa pamusana pepinosis.

1 -

Therapy Therapy

Nhanho yekutanga yakawanda pakurapa kwepelin stenosis inorapwa. Kusimbiswa mune utachiona hwepanyama kunowanikwa pakusimbisa misumbu yekumusana, kuvandudza masimba emusimba, nekuvandudza mamiriro. Nekunatsigira zviri nani musana, zviratidzo zvekushongedzeka kwehutano zvinowanzovandudzwa. Dzidzo dzakaratidza kakawanda kuti varwere vane spinal stenosis vanopedza maitiro ekurapa zvirongwa zvepanyama vane urombo hushoma uye huri nani.

Zvimwe

2 -

Kuonda

Kurasikirwa uremu ibasa rakaoma kune varwere vane zvinetso zvepamakumbo nemakumbo. Zvisinei, kurasikirwa kunyange huwandu hwehuwandu hunowanzoita danho rakakwana mukudzivirira marwadzo. Nokubvisa kunyange makirogiramu 10 kana kupfuura, musana wechipfuva unotsigira zvishoma pane mutoro, uye kurwadziwa kunogona kubviswa zvakakwana.

Zvimwe

3 -

Anti-Inflammatory Medication

Mishonga yeAinsteroidal anti-inflammatory (NSAIDs) inowanzogadziriswa, uye inowanzobatsira kubvisa marwadzo anokonzerwa nepelinal stenosis. Nokuderedza kuputika, mishonga iyi inogona kubvisa mamwe kushungurudzwa pamisungo yakamanikidzwa. NSAID dzinofanira kushandiswa pasi pekuongororwa kwachiremba semigumisiro yemigumisiro yakajairika, zvikurukuru kune vakwegura. Matambudziko emagunha ndiwo anowanzosiyana-siyana, asi kunewo kuwedzera kunetseka pamusoro pezvinobvira pamwoyo yemigumisiro yemigumisiro inobatanidza nekushandiswa kwenguva refu kweNSAIDs.

Zvimwe

4 -

Mimwe Mishonga

Mishonga yemakemikari inonzi steroid inogona kubatsira mune zvikamu zvemuviri wakaoma (kamwe-kamwe). Mishonga inoshandiswa inosanganisira Prednisone uye Medrol. Kufanana neNSAIDs, mishonga iyi inopesana nekuputika inoderedza kuputika kumativi ose emitsipa yakanyanyisa, zvichidaro nekuderedza zviratidzo.

Dhacotic mishonga ine kurwadziwa kwakasimba kunoderedza asi inofanira kushandiswa zvishoma. Iyi mishonga inogona kuva nemigumisiro yakakomba, uye inogona kuitawo kuti varwere vave vanovimba nemishonga.

5 -

Alternative Treatments

Zvimwe zvirwere zvinosanganisira kupora , kushambadza , magnet therapy , mishonga yemasikirwo, uye vamwe. Hapana mubvunzo kuti varwere vakawanda vanowana zororo rakakura kubva kumarudzi aya emishonga. Kunyange zvazvo zvidzidzo zvesayenzi zvakashaya kutsigira marapa aya, vazhinji vane zvigadzirwa zvishoma uye zvinorapwa zvinonzwisisika kuedza.

Zvimwe

6 -

Epidural Steroid Injections

Injections ye cortisone inogona kurongedzwa zvakananga munzvimbo yekudzvinyirira. Kufanana nemishonga inopesana nekuputira, mhedziso ndeyokudzikisa kudzvinyirira pamitsipa. Apo chirwere chinoshandiswa, mishonga inoendeswa kunharaunda yemupfupa stenosis, pane kutorwa nemuromo uye kufamba mumuviri wako wose.

Zvimwe

7 -

Spine Surgery

Kuvhiyiwa kwenguva refu kunogona kuonekwa kana mamwe mishonga yose inokundikana kuderedza zviratidzo zvako. Apo kuvhiyiwa kunoitwa nokuda kwepinini stenosis, mitsipa inodonhedzwa. Izvi zvinoreva kuti kuwedzera kwepfupa, chironga, uye zvinyoro-nyuchi zvinobviswa kuti zvibvumire nzvimbo yakawanda yehutano. Izvo zvinoshandiswa zvinoenderana nezvakanyatsoitika kuti kudzvinyirira kuri kuitwa. Zvichienderana nezvinobviswa mumiviri, nzira yacho inogona kunzi "laminectomy" (kubviswa kwefupa mushure memutsara wepelinus), foramenotomy (kubvisa pfupa kumativi emutsara), kana kuti discectomy (kubvisa ruvara rwepinjini kuti rudze simba).

_Sources:

_{Shen FH, et al. "Nonsurgical Management of Acute uye Chronic Chronic Back Pain" J. Am. Acad. Ortho. Surgery., August 2006; 14: 477 - 487.}

_{Issack PS, et al. "Degenerative Lumbar Spinal Stenosis: Kuongorora uye Kutungamirirwa" J Am Acad Orthop Surg August 2012 vol. 20 no. 8 527-535.}